Provider Demographics
NPI:1114298346
Name:ZARATE, PATRICIA DEL CARMEN
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DEL CARMEN
Last Name:ZARATE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:DEL CARMEN
Other - Last Name:ZARATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:15271 NW 60TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2432
Mailing Address - Country:US
Mailing Address - Phone:305-321-1077
Mailing Address - Fax:786-870-5196
Practice Address - Street 1:15271 NW 60TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2432
Practice Address - Country:US
Practice Address - Phone:305-321-1077
Practice Address - Fax:786-870-5196
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist